ERICK DRU DAWALT

PEORIA, IL
NPI1518214964
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051289062)
Additional Taxonomies183500000X Pharmacist
(Licence: IN  26020883A)
Enumeration Date2012-08-04
Last Update Date2012-08-04
Business Address
-- ERICK DRU DAWALT Pharm D
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2285
Mailing Address
-- ERICK DRU DAWALT Pharm D
11004 N MESA DR
PEORIA, IL 61615-1107
Phone number: